"Right now, doctors a lot of times are forced to make decisions based on the fee payment schedule that's out there. So if they're looking and you come in and you've got a bad sore throat or your child has a bad sore throat or has repeated sore throats, the doctor may look at the reimbursement system and say to himself, "You know what? I make a lot more money if I take this kid's tonsils out."
Now, that may be the right thing to do, but I'd rather have that doctor making those decisions just based on whether you really need your kid's tonsils out or whether it might make more sense just to change -- maybe they have allergies. Maybe they have something else that would make a difference."
Primary care physicians treating upper respiratory infection and tonsillitis, are not surgeons. Surgeons, ENT's, remove tonsils -- when the clinical situation meets specific, defined criteria. If Obama believes this jibberish, which I find highly unlikely, he is woefully ignorant of the system he is trying to reform...
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